Cov kab mob exocrine pancreas feem ntau yog poob ntawm kev ua haujlwm loj ntawm tus txiav nyob rau hauv exocrine pancreatic insufficiency, los yog vim mob los yog mob pancreatitis.. Cov tsos mob tshwm sim hauv cov neeg mob pancreatic insufficiency tshwm sim thaum muaj tsawg kawg yog 90% ntawm qhov loj ntawm exocrine pancreas. Qhov kev puas tsuaj no tuaj yeem yog vim atrophy lossis mob ntev thiab ua rau txo qis hauv pancreatic enzymes hauv txoj hnyuv, uas ua rau malabsorption thiab digestion tsis zoo cov as-ham, hauv cov rog tshwj xeeb., proteins thiab carbohydrates.
Cov kev kho mob muaj xws li kev tswj hwm ntawm pancreatic enzymes uas ua kom tiav cov haujlwm ntawm cov uas ib txwm tsim los ntawm cov txiav ua haujlwm zoo. Ua raws li tsab xov xwm no hauv peb lub vev xaib kom kawm paub txhua yam txog Exocrine pancreatic insufficiency nyob rau dev, nws cov tsos mob thiab kev kho mob.
Dab tsi yog exocrine pancreatic insufficiency?
Exocrine pancreatic insufficiency yog hu ua Exocrine pancreatic insufficiency hu ualub peev xwm los tso cov enzymes hauv qhov tsim nyog rau kev zom zaub mov zoo.
Qhov no ua rau malabsorption thiab assimilation tsis zoo ntawm cov as-ham hauv txoj hnyuv, ua rau muaj kev txuam ntawm carbohydrates thiab cov rog hauv nws. Los ntawm no, cov kab mob fermentation, fatty acid hydroxylation thiab cov kua tsib acid nag lossis daus tuaj yeem tshwm sim, uas ua rau qhov nruab nrab acidic thiab ua rau bacterial overgrowth
Cov tsos mob ntawm exocrine pancreatic insufficiency
Cov tsos mob tshwm sim thaum tau muaj kev puas tsuaj ntau dua 90% ntawm cov ntaub so ntswg exocrine pancreatic, thiab feem ntau pom nyob rau hauv cov neeg mob. exocrine pancreatic insufficiency hauv dev yog:
- cov quav ntau heev.
- Zoo.
- Flatulence.
- Steatorrhea (fatty quav).
- Ntau qab los noj mov (polyphagia) tab sis poob phaus.
- Vim.
- Hair phem tsos.
- Coprophagia (quav quav).
Thaum palpation koj tuaj yeem hnov qhov dilated bowel loops, with borborygmus.
Ua rau exocrine pancreatic insufficiency hauv dev
feem ntau ua rau exocrine pancreatic insufficiency hauv dev yog chronic acinar atrophy, tom qab mob pancreatitis. Nyob rau hauv cov ntaub ntawv ntawm miv, tom kawg yog ntau dua. Lwm yam ua rau exocrine pancreatic insufficiency nyob rau hauv dev yog qog nqaij hlav ntawm pancreas los yog sab nraud ntawm tus txiav ua rau muaj kev cuam tshuam ntawm cov kab mob pancreatic.
Genetic predisposition of tus kab mob
Kab mob no yog hereditary nyob rau hauv cov dev nram no:
- German shepherd.
- Long-haired ciam teb collie.
Xwb, nws yog ntau zaus in:
- Nyob
- English Setter.
Lub hnub nyoog muaj kev pheej hmoo loj tshaj plaws rau nws yog , hos lus Askiv setters tshwj xeeb yog 5 hli.
Diagnosis of exocrine pancreatic insufficiency
Nyob rau hauv kev kuaj mob, ntxiv rau kev coj mus rau hauv tus account tus dev cov tsos mob, tsis yog tshwj xeeb lossis kev sim dav dav thiab lwm yam tshwj xeeb yuav tsum tau ua.
General Analytics
:: Feem ntau tsis muaj kev hloov ntshav, thiab yog tias lawv tau mob siab, cholesterol thiab protein me me.
Specific tests
Cov kev xeem tshwj xeeb suav nrog:
- Measurement of serum immunoreactive trypsin (TLI): uas ntsuas trypsinogen thiab trypsin nkag mus ncaj qha los ntawm cov txiav. Nyob rau hauv txoj kev no, cov ntaub so ntswg exocrine pancreatic uas ua haujlwm tau raug ntsuas ncaj qha. Canine hom kev kuaj tshwj xeeb yog siv. Cov txiaj ntsig tsawg dua 2.5 ng / mL yog kuaj pom ntawm exocrine pancreatic insufficiency hauv dev.
- Fat absorption: nws yuav ua tau los ntawm kev ntsuas cov lipemia (rog hauv cov ntshav) ua ntej thiab rau peb teev tom qab noj cov roj zaub. Yog tias lipemia tsis tshwm sim, qhov kev sim rov ua dua tab sis ua rau cov roj nrog pancreatic enzyme mus txog ib teev. Yog tias lipemia tshwm sim, nws qhia tias kev zom zaub mov tsis zoo, thiab yog tias tsis yog malabsorption.
- Absorption of vitamin A: nws yuav ua tau los ntawm kev muab 200000 IU ntawm cov vitamin no thiab ntsuas hauv cov ntshav ntawm 6 thiab 8 teev. tom qab. Yog tias muaj qhov nqus tsawg dua peb npaug ntawm tus nqi ntawm cov vitamin no, nws qhia tias malabsorption lossis digestion tsis zoo.
Thaum twg xav tias tus kab mob no, koj yuav tsum ntsuas vitamin B12 thiab folate. Cov qib folate siab thiab qib vitamin B12 tsawg pom tau tias muaj cov kab mob loj dua hauv cov hnyuv me tuaj yeem cuam tshuam rau tus kab mob no.
Tshuaj kho mob ntawm exocrine pancreatic insufficiency
Kev kho mob ntawm exocrine pancreatic insufficiency muaj tswj kev zom zaub movthoob plaws hauv tus dev lub neej. Cov no tuaj yeem ua hmoov, tshuaj ntsiav, lossis ntsiav tshuaj. Txawm li cas los xij, thaum lawv txhim kho, koob tshuaj tuaj yeem txo qis.
Nyob rau qee lub sijhawm, txawm tias kev tswj hwm ntawm cov enzymes no, kev nqus cov rog tsis zoo vim yog pH ntawm lub plab, uas ua rau lawv puas tsuaj ua ntej ua yeeb yam. Yog tias qhov no tshwm sim, stomach protector xws li omeprazole yuav tsum tau muab ib zaug ib hnub.
Yog tias muaj vitamin B12 tsis txaus, nws yuav tsum tau ntxiv kom tsim nyog raws li tus dev qhov hnyav. Thaum tus dev qis dua 10kg koj xav tau txog 400mcg. Yog tias koj hnyav li ntawm 40 txog 50, koob tshuaj yuav muab rau 1200 mcg ntawm vitamin B12.
Ua ntej, noj tsawg rog, digestible, tsis muaj fiber ntau tau pom zoo, tab sis hnub no nws txaus los ua ib qho digestible diet Cov rog tsawg tsuas yog pom zoo yog tias cov enzymes tsis txaus. Rice, raws li lub hauv paus ntawm cov hmoov txhuv nplej siab yooj yim digestible, yog cov cereal ntawm kev xaiv hauv cov dev nrog exocrine pancreatic insufficiency.
